Computable Care Guidelines
1.0.0-current - ci-build International flag

Computable Care Guidelines, published by IHE QRPH Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/QRPH.CCG/ and changes regularly. See the Directory of published versions

Changes to Other IHE Specifications

This section modifies other IHE profiles or the General Introduction Appendices and is not a part of the CCG Profile. The content here will be incorporated into the target narrative at a future time, usually when the CCG Profile goes normative.

IHE Technical Frameworks General Introduction Appendix A: Actors

Editor, add the following new or modified actors to the IHE Technical Frameworks General Introduction Appendix A:
Actor Definition
Guideline Engine an actor that can ingest a submitted bundle of relevant contextual and person-centric content and execute the processing logic needed to return the appropriate response(s) indicating what care actions are recommended
Guideline Performer an actor that can directly or indirectly interact with a human user, construct appropriate encounter-specific artifacts (e.g., a bundle containing relevant contextual and person-centric content), manage the iterative invocation of $apply operations that will concurrently process one or more relevant CCGs, and appropriately process the transaction responses
Guideline Publisher an actor that may find and retrieve an existing CCG from a Guideline Repository and can publish a CCG to a Guideline Repository
Guideline Repository an actor that can receive and catalog a submitted CCG and can respond to searches / requests for CCGs and return relevant lists / artifacts to a requester

IHE Technical Frameworks General Introduction Appendix B: Transactions

Editor, add the following new or modified transactions to the IHE Technical Frameworks General Introduction Appendix B:
Transaction Name and Number Definition
Search for Guidelines [QRPH-61]  
Retrieve Guideline [QRPH-62] Used to download and ingest a CCG that has been published to a Guideline Repository
Publish Guideline [QRPH-63]  
Apply Guideline [QRPH-64]  

IHE Technical Frameworks General Introduction Appendix D: Glossary

Editor, add the following new or modified terms to the IHE Technical Frameworks General Introduction Appendix D:
Term Definition
ASTP The Assistant Secretary for Technology Policy (ASTP) / Office of the National Coordinator is a US government administrative body responsible for digital health
BPMN Business Process Model & Notation – a published specification of the Object Management Group (OMG)
CARD (metaphor) A CCG CARD is metaphorically used to describe an evidence-based care recommendation. CARD is an acronym for Condition, Action, and Resulting Data. There is one CARD per recommendation – and when the Condition is true, the Action is recommended and when the Action is taken, there is Resulting Data. Multiple CARDs related to a care guideline are contained in a CCG Folder (see Folder (metaphor)).
Care Plan Contributor (actor) An actor that may be able to search for and retrieve a patient’s Care Plan from a Care Plan Service and can save a new or updated Care Plan to a Care Plan Service.
Care Plan Service (actor) An actor that maintains patient Care Plans and which can respond to transactional requests from a Care Plan Contributor actor.
CCG Computable Care Guideline - a set of evidence-based care recommendations expressed in a format that may be ingested by and operationalized by a digital health solution.
CPG-on-FHIR An Implementation Guide (IG) developed by the HL7 Clinical Decision Support working group (IG found here: https://hl7.org/fhir/uv/cpg/2024Jan/index.html)
DMN Decision Model & Notation – a published specification of the Object Management Group (OMG).
EMR Electronic Medical Records digital health solution
Folder (metaphor) A CCG Folder is a container metaphor. There will be a Folder to contain all of the care recommendations related to a particular care guideline (e.g. Diabetes, Childhood Immunization, HIV, etc.). See also CARD (metaphor).
Guideline Engine (actor) An actor that can ingest a submitted bundle of relevant contextual and person-centric content and execute the processing logic needed to return the appropriate response(s) indicating what care actions are recommended.
Guideline Performer (actor) An actor that can directly or indirectly interact with a human user, construct appropriate encounter-specific artefacts (e.g. a bundle containing relevant contextual and person-centric content), and manage the iterative invocation of $apply operations that will concurrently process one or more relevant CCGs.
Guideline Publisher (actor) An actor that may find and retrieve an existing CCG from a Guideline Repository and can publish a CCG to a Guideline Repository.
Guideline Repository (actor) An actor that can receive and catalogue a submitted CCG and can respond to searches / requests for CCGs and return relevant lists / artefacts to a requester
HL7 Health Level Seven – a global standards development organization focused on digital health
IHE Deployment Committee IHE’s deployment committees are established to foster adoption of IHE specifications within a country or region (e.g. Canada, France, Europe, etc.). The contextualization of an IHE Profile for use within a jurisdiction (e.g. Canada, or Europe) would be governed by the relevant jurisdictional deployment committee (e.g. IHE Canada, or IHE Europe).
IHE Domain Committee IHE’s technical committees are established to develop implementable, conformance-testable digital health specifications related to specific domains of healthcare such as Patient Care Coordination (PCC); Quality, Research & Public Health (QRPH); Radiology (RAD), etc. Specifications leveraged across the other domains are typically developed by IHE’s IT Infrastructure (ITI) technical committee.
IPS International Patient Summary - a globally balloted specification that describes information about a care subject that is important to supporting their care continuity.
LHS Learning Health System - the application of a continuous quality improvement cycle on the operations of an entire care delivery network
LMIC Low- and middle-income Countries as defined by the World Bank categorization (https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups)
mCSD mobile Care Services Discovery – an IHE Profile focused on digital health content related to care locations, providers, organizations and services and the relationships between these
NCD Non-communicable diseases - sometimes also referred to as “chronic diseases”
npm Node Package Manager - a standard grammar for defining computable software packages
OECD Organization for Economic Co-operation and Development
ONC The Assistant Secretary for Technology Policy / Office of the National Coordinator (ONC) is a US government administrative body responsible for digital health
SMS Short Message Service – messages sent/received via mobile phones; commonly known as “text messages”
SNOMED Systematized Nomenclature of Medicine - SNOMED International is a global standards development organization focused on terminologies for healthcare; their key publication is SNOMED CT (clinical terminology)
USCDI US Core Data for Interoperability - a core data set defined by ASTP/ONC to support digital health data exchange in the US
VBHS Value-based Health Services - also sometimes called value-based care (VBC)
WHO World Health Organization